Mechanical Thrombectomy of Pulmonary Emboli With Use of the Indigo System and Lightning 12 Intelligent Aspiration

Mathews, Santhosh Jay

doi:10.14503/thij-21-7571

Cited by 9 publications

(7 citation statements)

References 5 publications

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“…The key innovations of the novel Lightning 12 system are the new CAT12 catheter, with a large 0.131'' lumen and angled tip for an additional circumferential sweep, and the lighting control unit with a pressure/flow sensor system and high-frequency valves. These innovations aim to efficiently regulate aspiration and prevent excessive blood loss [5]. Our case showed that CDMT with the use of the Lightning 12 system was well tolerated and effective.…”

mentioning

confidence: 71%

Lightning 12: A new player in the field of pulmonary percutaneous mechanical thrombectomy

et al. 2022

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mentioning

confidence: 71%

Lightning 12: A new player in the field of pulmonary percutaneous mechanical thrombectomy

et al. 2022

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“…Meanwhile, surgical embolectomy involves a sternotomy for pulmonary artery exposure and opening of the pulmonary artery (PA) for removal of the thrombus. 27 28 29 Fig. 1 shows an example of a PE diagnosed on CT PE.…”

Section: Discussionmentioning

confidence: 99%

“…However, in patients with absolute contraindications to pharmacologic thrombolysis, failed thrombolytic therapy, patent foramen ovale, or pregnancy, pulmonary embolectomy via an interventionalist or surgeon is indicated. 18,[27][28][29] The interventionalist can utilize various catheter devices that can break up/dissolve the blood clot or suction out the clot. These devices utilize a percutaneous approach and are advanced antegrade into the pulmonary artery.…”

Section: Prevention Of Pulmonary Embolismmentioning

confidence: 99%

Pulmonary Embolism Following Lung Transplantation: Prevention and Management

Mohammadi,

Keshavamurthy

2024

Int J Angiol

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Thromboembolic events are the third leading cardiovascular diagnosis following stroke and myocardial infarction. In the United States, 300,000 to 600,000 people per year are diagnosed with venous thromboembolism, either deep venous thrombosis or pulmonary embolism (PE). Of those patients, thousands die from PE despite heightened vigilance and improved therapies. Lung transplant recipients are at increased risk of developing PE due to multiple risk factors unique to this population. Additionally, the transplant recipients are more susceptible to morbid complications from PE. As a result, prevention, timely recognition, and intervention of PE in the lung transplant population are of the utmost importance.

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“…Indigo CAT8 is an aspiration thrombectomy-based system that implements automatic suction through an 8 F catheter and uses a retractable separator that moves back and forth, facilitating thrombus fragmentation [ 19 ]. Indigo CAT12 has an improved algorithm that controls automatic valves, reducing blood loss and optimizing clot removal [ 20 ]. Cleaner XT TM is a 6 F rotational thrombectomy system, utilizing a sinuous-shaped radio-opaque wire that rotates at approximately 4000 rounds per minute, facilitating gentle mechanical declotting [ 21 ].…”

Section: Methodsmentioning

confidence: 99%

Treatment of high- and intermediate-high-risk pulmonary embolism by the Pulmonary Embolism Response Team: Focus on catheter-directed therapies

Pietrasik

Kurzyna

Szwed³

et al. 2024

Cardiol J.

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Background Multidisciplinary Pulmonary Embolism Response Teams (PERTs) were established to individualize the treatment of high-risk (HR) and intermediate-high-risk (IHR) pulmonary embolism (PE) patients, which pose a challenge in clinical practice. Methods We retrospectively collected the data of all HR and IHR acute PE patients consulted by PERT CELZAT between September 2017 and October 2022. The patient population was divided into four different treatment methods: anticoagulation alone (AC), systemic thrombolysis (ST), surgical embolectomy (SE), and catheter-directed therapies (CDTx). Baseline clinical characteristics, risk stratification, PE severity parameters, and treatment outcomes were compared between the four groups. Results Of the 110 patients with HR and IHR PE, 67 (61%) patients were treated with AC only, 11 (10%) with ST, 15 (14%) underwent SE, and 17 (15%) were treated with CTDx. The most common treatment option in the HR group was reperfusion therapy, used in 20/24 (83%) cases, including ST in 7 (29%) patients, SE in 5 (21%) patients, and CTDx in 8 (33%) patients. In contrast, IHR patients were treated with AC alone in 63/86 (73%) cases. The in-hospital mortality rate was 9/24 (37.5%) in the HR group and 4/86 (4.7%) in the IHR group. Conclusions The number of advanced procedures aimed at reperfusion was substantially higher in the HR group than in the IHR PE group. Despite the common use of advanced reperfusion techniques in the HR group, patient mortality remained high. There is a need further to optimize the treatment of patients with HR PE to improve outcomes.

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Mechanical Thrombectomy of Pulmonary Emboli With Use of the Indigo System and Lightning 12 Intelligent Aspiration

Cited by 9 publications

References 5 publications

Lightning 12: A new player in the field of pulmonary percutaneous mechanical thrombectomy

Lightning 12: A new player in the field of pulmonary percutaneous mechanical thrombectomy

Pulmonary Embolism Following Lung Transplantation: Prevention and Management

Treatment of high- and intermediate-high-risk pulmonary embolism by the Pulmonary Embolism Response Team: Focus on catheter-directed therapies

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